Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WEST FLORIDA PHYSICIAN NETWORK, LLC

NPI: 1376779496 · BRADENTON, FL 34209 · Family Medicine Physician · NPI assigned 06/03/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOHNSON, WILLIAM controls 20+ related entities in our dataset. Read more

$411K
Total Medicaid Paid
17,083
Total Claims
13,749
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, WILLIAM (VICE PRESIDENT/AO)
NPI Enumeration Date06/03/2009

Related Entities

Other providers sharing the same authorized official: JOHNSON, WILLIAM

ProviderCityStateTotal Paid
STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES OKLAHOMA CITY OK $21.69M
1ST PRIORITY HOMECARE LLC KANSAS CITY MO $5.21M
COASTAL CAROLINA PRIMARY CARE, LLC MYRTLE BEACH SC $4.04M
CITRUS SPECIALTY GROUP, INC INVERNESS FL $3.80M
MIAMI-DADE CARDIOLOGY CONSULTANTS, LLC MIAMI FL $2.32M
COMMUNITY HOSPITAL FAMILY PRACTICE LLC BROOKSVILLE FL $1.74M
CAPITAL REGIONAL HEALTHCARE LLC TALLAHASSEE FL $1.73M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.66M
CHILDRENS CLINIC OF FREDERICKSBURG URGENT CARE PC FREDERICKSBURG VA $820K
LAYTON FAMILY PRACTICE LLC LAYTON UT $673K
LARGO PHYSICIAN GROUP, LLC BROOKSVILLE FL $653K
BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC SARASOTA FL $332K
NORTH FLORIDA REGIONAL PSYCHIATRY, LLC GAINESVILLE FL $204K
CITRUS PRIMARY CARE, INC HOMOSASSA FL $190K
COVENANT PRIMARY & BEHAVIORAL CARE PEMBROKE NC $166K
BROWARD NEUROSURGEONS LLC PLANTATION FL $77K
FAMILY MEDICINE OF BLACKSBURG, LLC BLACKSBURG VA $59K
LAWNWOOD CARDIOVASCULAR SURGERY LLC FORT PIERCE FL $54K
GREATER TAMPA BAY PHYSICIAN NETWORK, LLC SOUTH PASADENA FL $45K
SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC BLACKSBURG VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 322 $208.83
2019 2,515 $62K
2020 2,561 $71K
2021 3,026 $82K
2022 3,260 $69K
2023 3,499 $89K
2024 1,900 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,149 9,049 $290K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,430 3,721 $68K
99205 Prolong outpt/office vis 211 169 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 219 200 $17K
99232 Subsequent hospital care, per day, moderate complexity 421 150 $6K
64493 38 17 $2K
15002 21 13 $2K
99223 Prolong inpt eval add15 m 40 25 $1K
99215 Prolong outpt/office vis 40 33 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $1K
64495 35 14 $659.90
64494 41 18 $651.20
99441 106 97 $567.42
99222 Initial hospital care, per day, moderate complexity 25 18 $457.81
27096 20 14 $427.44
95816 34 13 $247.76
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 33 27 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 34 29 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 100 71 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 16 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 41 34 $0.00
G9016 Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] 16 12 $0.00